Hyperthyroidism

Am new here and I need some advice. I was diagnosed of Hyperthyroid in April and my results were t4- 45, t3- 23, tsh- 0.0005 my Dr give me Carbimazole 20mg and Propranolol 40mg after 6 weeks i did another test and my t4-11, t3- 6- tsh- still 0.0005.

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If you have heart symptoms, you need to keep taking it. I responded to another post of yours before. My heart symptoms were intermittent and stress-related so I took it as needed, but you need to keep in touch with your body and if heart symptoms, definitely take it, especially when your TSH is at such a low value.

Please can you help read these results and explain the possible reasons of the increase. I was on 20mg Carbimozole and 40mg Propranolol twice a day. I reduced my dosage to 10mg Carbimozole and 20mg×2 Propranolol after the second result. I started having some little palpitations and I said let me do another test to check and this is the result of 30-06-17.

I agree with Leigh. For myself, I found I could not drop my Methimazole dosage by too much at a time and my Endo was very good about adjusting itownward slowly. The one time my first Endocrinologist cut my dosage in half, I had a rebound effect two weeks later much like you are having now. I also found my results were more stable and I felt better when I added supplements to my treatment like Regular L-Carnitine, Vitamin D gel caps and Magnesium to start with. I then added Acetyl-L-Carnitine and had to be very careful not to go hypo with this because Graves disease patients especially are very sensitive to this supplement and need to make frequent adjustments in it to stay in the normal range.

Also, while you are experiencing these kinds of results, I would not do fast exercise like running.

So on a dose of Carbimazole of 20 mg your T4 and T3 fell into the normal range. I would not adjust or decrease Carbimazole while your TSH remains at essentially 0.005. Mine stayed at less than 0.001 for two years but my 10 mg dose of methimazole kept my T3 and T4 within range at that dosage. I did not adjust that med until my TSH started to rise even a little bit and then the adjustments were small and slow, i.e. no more than 2.5 mg at a time. With using the Acetyl, you have to be extremely careful, monitor your body symptoms and more frequent testing. 500 mg is fine to start with but get checked often and if your TSH is rising too much or too fast, then stop taking the Acetyl or take it every other day.

Just woke up this morning and sleep was very bad just after one day of taking Acetyl-L-Carnitine. I think it has to do with Mirtazapine I have been taking for 6 years now for anxiety and sleep. Mirtazapine also has to do with the brain. I remember I took Taurine and I had this same problem. What do you advice on ALC?

While ALC probably was the most beneficial supplement I took as far as raising my TSH, it was not without side effects for me as well. Regular L-Carnitine would be better to start with. It did not have the side effects of Acetyl and it did begin to raise my TSH a little. It will restore the Carnitine that was lost from your muscles. I did not have a side effect from the Regular L-Carnitine. I got it by prescription as a liquid so it was not cumbersome to take but it is expensive when taken as a medical prescription from your doctor (I think it cost something like $300 a month which is okay if you have extended health care in the form of drug coverage) but a lot to pay from your pocket. I started by taking 3,000 mg of the Regular L-Carnitine because I came across a Research Article published by an Endocrinologist research team from Italy who stated the benefits of this treatment. This was the first time my TSH rose from essentially 0 when I took the Regular L-Carnitine. With the Acetyl, it crosses the blood-brain barrier and when taken along with other drugs, will get those drugs across the blood-brain barrier too. You might want to try Lemon Balm, a very calming supplement. You shouldn't have the same problem with your meds as you are having with the Acetyl if you take the Regular Carnitine but it is always a good idea to check with your pharmacist about any meds you are on and how they interact with whatever else you want to take.

Have been having problem with sleeping. Actually I fall asleep but wake up after I think 4hours or so and I couldn't sleep anymore and having Palpitations....i don't know if Propranolol might be the cause

Am still having my not too good sleep. I wake up very early and wonder must times if I actually slept. I read is because Propranolol cross across the brain. Do you know of people taking Atenolol with Carbimozole? Am thinking if to suggest to my doctor to switch to Atenolol

Sorry I don't know much about them. I was prescribed Propranolol but rarely used it once I started on Methimazole. If I am under stress and have increased heart rates, I will occasionally take 1/2 of a 10 mg tablet but haven't noted any ill effects from it when I do take it. Perhaps those who were given Atenolol could comment about that.

You are hyperthyroid. Some practitioners especially in the UK prescribe both thyroid blocking and thyroid stimulating drugs at the same time (I think this is called the Block and Replace method) to stop the excessive thyroid hormone. Perhaps those on this Board who have had that treatment could better comment about it. I think you need to do a lot of research on your condition and make choices from what you learn, how your body feels as well as any input from this Board that makes sense to you. If I had the palpitation and sleep problems you have, I would be hesitant to use the Block and Replace method, however, your doc should know your complete history and all prescribed drugs you are taking as well as any supplements and perhaps you could discuss your concerns with him. I would get your Total and Free Carnitine levels checked, your vitamin D level checked and your magnesium level checked and if deficient start supplementing these. All of your physicians should at least know all of the prescribed drugs you are taking and I would also check with your pharmacist about the interactions of the various drugs you are taking. When it comes to adjusting your prescribed meds, I would have your doc make that decision. For me, my doc lowered the dosages slowly so I didn't have a rebound from lowering the dosage.

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